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目的了解利用信息化系统查验接种证的效果和入托入学儿童的预防接种情况,为提高规划疫苗接种率和加强学校传染病预防控制提供科学依据。方法对天津市2012—2014年入托入学儿童查验证及补证补种资料进行描述性分析。结果 2013和2014年查验人数分别比2012年多6 162和23 290人,但是漏种疫苗分别比2012年减少34 630和47 392剂次,漏种的主要疫苗是流脑A+C、乙脑、麻风腮、白破等加强免疫疫苗;2012—2014年按补种人数计算的补种率分别为79.28%,99.76%,99.50%;按补种剂次计算的补种率分别为75.36%,96.32%,96.60%。除了2013年第2针的流脑A+C疫苗的接种率为94.05%以外,其他所有疫苗的接种率均在95%以上。结论预查验和信息化系统的应用极大地提高了接种单位接种证查验的工作水平和漏种疫苗的补种率,查验数据可以很好地应用于接种率评估。
Objective To understand the effect of using information system to check the vaccination certificate and vaccination of children enrolled in nursery school, so as to provide a scientific basis for raising the planned vaccination rate and strengthening the prevention and control of school infectious diseases. Methods A descriptive analysis was performed on the verification and replacement certificates of children admitted to Tianjin during 2012-2014. Results The number of verified vaccines in 2013 and 2014 were respectively 6 162 and 23 290 more than in 2012, but the number of missed vaccines decreased by 34 630 and 47 392 doses respectively compared with 2012. The main missed vaccines were meningitis A + C, , Leprosy gills, white broken and so on to strengthen the immune vaccine; 2012-2014 according to the number of seed replantation rates were 79.28%, 99.76%, 99.50%; according to the calculation of seed dressing rates were 75.36% 96.32%, 96.60%. In addition to the 94.05% vaccination rate for the second dose of meningitis A + C vaccine in 2013, the vaccination rates for all other vaccines were above 95%. Conclusion The application of pre-test and information system has greatly improved the working level of vaccination certificate vaccination unit and the missed vaccination rate, and the test data can be well applied to vaccination rate assessment.